Individual
KELLI DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 GUEST HOUSE DR, WEST MONROE, LA 71292-5003
(318) 387-3900
Mailing address
450 KENDALL RIDGE CT, WEST MONROE, LA 71292-2478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200150
LA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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